Stress overload
related to multiple co-existing stressors as evidenced by patient statements, “My
husband used to beat me,” and “My daughter cusses me but I don’t care.I cuss her back.”

Short Term:

Patient will review the amounts
and types of stressors in daily living as measured by patient identification of
two stressors, identifying amount and type by [date] at 3:00 pm.

Long Term:

Client will reduce stress levels through use of relaxation
techniques and other strategies as measured by patient statement of implementation
of at least one alternative method of reducing stress by [date] at 3:00 pm.

-Listen actively to descriptions
of stressors and the stress response.
Having an opportunity to speak about stressors is helpful in dealing with stress
overload.Listening engenders trust
and trust is the first step in the process of helping clients to reduce the psychological
distress of stress overload (Ackley & Ladwig).

-Categorize stressors as modifiable
or nonmodifiable.Removing or minimizing
some stressors, changing responses to stressors, and modifying the long-term effects
of stress are all actions that can assist those with diabetes and stress (Ackley
& Ladwig).

-Encourage social support
for older adults.Stressors in highly
valued roles affect physical health only when there is insufficient emotional support
from social networks (Ackley & Ladwig).

-Explore possible therapeuticapproaches such as cognitive
behavior therapy, biofeedback, neurofeedback, pharmacologic agents, and complimentary
and alternative therapies.These types
of therapies decrease the sympathetic nervous system response to stress.Neurofeedback promotes optimum functioning of the central nervous system,
induces relaxation, and supports healthy balance, flexibility, and resilience.Adults who had experienced hospitalizations
of at least 5 days said that spirituality strengthened their coping ability (Ackley
& Ladwig).

Goal met.
Patient identified two stressors and patient identified amount and type of stressors
on [date].

Goal is set to be measured on [date] at 3:00 pm.Client has made progress.Client has requested that she receive students from the School for therapeutic
communication sessions for the fall semester on [date].

-Active listening is used to assess descriptions of stressors and the stress response,
every Tuesday afternoon.

- Stressors are categorized as
modifiable or non-modifiable, every Tuesday afternoon.

-Social support
has been encouraged, every Tuesday afternoon.

-Possible therapeutic
approaches and complimentary and alternative therapies were explored on [date].